Obstetric and perinatal outcomes in multiparous adolescents
Keywords:
pregnancy in adolescence, prenatal care, reproductive medicineAbstract
Objective
To compare the obstetric and perinatal outcome of multiparous adolescents with two contrai groups: primiparous adolescents and multiparous adults.
Methods
A total of 199 multiparous adolescents were compareci to 398 primiparous adolescents and 398 multiparous adults. The presence of chronic diseases, stillbirths, twins and fetal malformation were exclusion criteria. Statistical analysis was performed using Chi-squared test, Student's "t" test for independent samples and multiple logistic regression.
Results
The percentage of small-for-gestational age newborns was significantly higher among multiparous adolescents (7.3%) than among multiparous adults (3.6%). Multiple logistic regression analysis determined that only variables significantly associated with risk for small-for-gestational age newborns were young maternal age and low number of prenatal visits (Odds Ratio=2.119 and Odds Ratio= 0.311).
Conclusion
Multiparous adolescents presented similar obstetric and perinatal outcomes when compareci to primiparous adolescents and multiparous adults except for the frequency of small-for-gestational age newborns infants, which was significantly higher among multiparous adolescents than among adults. Maternal age :':J 9 years and low number of prenatal visits were the variables associated with the risk for small-for-gestational age newborns.
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References
Departamento de Informação e Informática do SUS [homepage on the Internet]. Brasília (DF): Secretaria Executiva do Ministério da Saúde. [acesso 2004 maio 5]. Disponível em: http//www.datsus.gov
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